Department of Otorhinolaryngology-Head and Neck Surgery, Seoul National University College of Medicine, Boramae Medical Center, Seoul, South Korea.
J Craniofac Surg. 2021;32(5):e487-e489. doi: 10.1097/SCS.0000000000007453.
A nasal septal perforation is a defect of cartilage, bone, or mucosa of nasal septum, which is caused by previous septal surgery, trauma, chemicals, inflammatory disease, or drugs. If conservative managements, such as nasal saline irrigation or ointments, are not effective, surgical treatment can be considered. Various methods for the reconstruction of nasal septal perforation were reported, such as local flaps, free flaps, autografts, allografts, or xenografts. However, there is no standardized method due to low success rate and high recurrence rate, especially in large perforations. The authors report a successful repair case of large anteroinferior nasal septal perforation, using inferior based contralateral nasal floor flap. The authors believe that our method is an effective way to repair large nasal septal perforation and to minimalize donor site morbidity, without using other allografts.
鼻中隔穿孔是指由于先前的鼻中隔手术、创伤、化学物质、炎症性疾病或药物等原因导致的鼻中隔软骨、骨或黏膜的缺陷。如果保守治疗（如鼻腔盐水冲洗或软膏）无效，可以考虑手术治疗。已经报道了多种用于鼻中隔穿孔重建的方法，如局部皮瓣、游离皮瓣、自体移植物、同种异体移植物或异种移植物。然而，由于成功率低且复发率高，尤其是对于大穿孔，因此尚无标准化的方法。作者报告了一例使用对侧下鼻甲底为蒂的鼻中隔前下穿孔修复术成功修复大的鼻中隔前下穿孔的病例。作者认为，他们的方法是修复大的鼻中隔穿孔的有效方法，可最大限度地减少供区的发病率，无需使用其他同种异体移植物。
